Individual provider Active NPI

Mohammad Akbar Naeem, MD

  • Family Medicine Physician
  • Elyria, OH
National Provider Identifier
1063488815
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35034213N Issued in OH
Practice address
418 E Broad St
Elyria, OH 44035
Phone
(440) 322-4333
Fax
(440) 322-7717
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35034213N OH Primary

Addresses

Primary practice location

418 E Broad St
Elyria, OH 44035

Mailing address

418 E Broad St
Elyria, OH 44035
Phone (440) 322-4333

Other identifiers 2

IdentifierTypeStateIssuer
000000127320OtherBLUE CROSS BLUE SHIELD
0196890MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000057 OH Practitioner - Family Practice 0648272476 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35034213NOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Regional Medical Center CurrentSince Jun 27, 2009 Accepting new patients
Emh Regional Medical Center CurrentSince Jun 27, 2009 Accepting new patients
Lorain County Health & Dentistry CurrentSince May 10, 2017 Accepting new patients
Lorain County Health & Dentistry CurrentSince May 10, 2017 Accepting new patients
Om Healthcare LLC Past Accepting new patients
Physicians Link Center LLC Past Accepting new patients

Locations

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

105 Louden Ct
Elyria, OH 44035

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

1205 Broadway
Lorain, OH 44052

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: mohammad.naeem.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063488815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-322-4333",
            "fax_number": "440-322-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-322-4333",
            "fax_number": "440-322-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEEM",
        "first_name": "MOHAMMAD",
        "middle_name": "AKBAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35034213N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000127320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.